Migraine-associated vestibulopathy

Julie Honaker, Ravi N. Samy

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Purpose of Review: In the past few years, otologists have been seeing an increasing number of patients with vestibular disorders due to migraine-associated vestibulopathy. This article reviews some of the latest developments in the understanding of this disease process, specifically its incidence, symptoms, diagnosis, and treatment. Recent Findings: Migraine-associated vestibular symptoms may include episodic true vertigo, movement-provoked dysequilibrium, imbalance/unsteadiness, and complaints of lightheadedness. The pathophysiology of migraine-associated vestibulopathy is not completely understood; however, both peripheral and central deficits have been observed. Although the International Headache Society classification does not include migraine-associated vestibulopathy as a subclassification of migraine, there is emerging evidence to support this development, which should then lead toward improved diagnosis and treatment. Currently, migraine-associated vestibulopathy is still considered a diagnosis of exclusion. Summary: Treatment of migraine-associated vestibulopathy is effective and includes lifestyle changes, such as reducing triggers that increase susceptibility to migraines (e.g. stress, poor diet, nicotine, or irregular sleep patterns), prophylactic and abortive medications, vestibular therapy, or a combination of these. Further research is needed to better understand migraine-associated vestibulopathy and improve treatment.

Original languageEnglish (US)
Pages (from-to)412-415
Number of pages4
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Volume16
Issue number5
DOIs
StatePublished - Oct 2008

Keywords

  • Dizziness
  • Migraine, migraine-associated vestibulopathy
  • Vertigo

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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